Individual provider Active NPI

Brandon Matthew Todd, DPT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1568139640
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7520 Issued in ID
Practice address
1525 S Orchard St
Boise, ID 83705-2620
Phone
(208) 912-0107
NPI assigned
Aug 25, 2021
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-7520 ID Primary
Physical Therapist 225100000X PT61435385 WA

Addresses

Primary practice location

1525 S Orchard St
Boise, ID 83705-2620

Mailing address

3208 132ND Ave SE
Snohomish, WA 98290-9743

Other identifiers 1

IdentifierTypeStateIssuer
PT-7520OtherIDPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210928000629 ID Practitioner - Physical Therapist in Private Practice 6204233653 Reassigns benefits to 2 organizations
I20240624003643 WA Practitioner - Physical Therapist in Private Practice 6204233653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Physical Therapy P CGroup PAC ID 7012977168, 22 clinicians

Practice addresses (Care Compare)

1005 W 6TH St S
Mountain Home, ID 83647-3339
Phone (208) 587-1777

3807 W Court St
Pasco, WA 99301-2778
Phone (509) 547-3725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61435385WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy P C Physical Therapist CurrentSince May 19, 2025 Accepting new patients
ZRJ Inc Physical Therapist CurrentSince Sep 6, 2021 Accepting new patients
Washington Physical Therapy PLLC CurrentSince May 19, 2025 Accepting new patients
Empowerme Rehabilitation Wa, PC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Summit Physical Therapy, Inc. Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Institute of Physical Therapy and Fitness Physical Therapist Past Accepting new patients

Locations

12072 W McMillan Rd
Boise, ID 83713
Phone (208) 939-0533

678 Southway Ave
Lewiston, ID 83501
Phone (208) 746-1418

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

830 N Columbia Center Blvd
Ste D
Kennewick, WA 99336
Phone (509) 783-3444

3807 W Court St
Pasco, WA 99301
Phone (509) 547-3725

4503 S Freya St
Spokane, WA 99223
Phone (509) 472-8752

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1568139640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 132ND AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982909743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S ORCHARD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052620",
            "telephone_number": "208-912-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "BRANDON",
        "middle_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7520",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61435385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT-7520",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.